None listed
Conditions
Brief summary
The objective of our study is to assess whether the open repair of pectus excavatum in adults would improve pulmonary and cardiovascular function, and exercise tolerance.
Interventions
Patients undergo a simplified open repair using a limited transversal, or submammary incision in female patients. The mobilization of pectoralis muscles and rectus abdominis are just sufficient to expose the enlarged cartilages, which are resected subperichondrially (generally total bilateral cartilage resection from 3th to the 6th, limited to the extremities of the 7th cartilages). An optional transverse anterior osteotomy of the upper sternum, followed by elevation of the distal sternum is the
Patients undergo a simplified open repair using a limited transversal, or submammary incision in female patients. The mobilization of pectoralis muscles and rectus abdominis are just sufficient to expose the enlarged cartilages, which are resected subperichondrially (generally total bilateral cartilage resection from 3th to the 6th, limited to the extremities of the 7th cartilages). An optional transverse anterior osteotomy of the upper sternum, followed by elevation of the distal sternum is then performed. Approximative duration is 90 min. Sternal stabilization is achieved by using an easily removable metallic strut, which is removed under local anesthesia on an outpatient basis, 6 months after the initial procedure.
Sponsors
University Hospital (CHRU) of Lille France
Study design
Allocation
Non-randomised trial
Intervention model
Single group
Primary purpose
Treatment
Masking
Open (masking not used)
Eligibility
Sex/Gender
All
Age
16 Years to 35 Years
Healthy volunteers
No
Inclusion criteria
pectus excavatum Haller severity score up to 4 chest discomfort or chest pain
Exclusion criteria
pregnancy
Outcome results
None listed